- Focuses primarily on the individual and family
- Setting specific
- Emphasis is on acute and chronic care
- Includes: Home health nursing and nursing in outpatient or ambulatory settings
Give this one a try later!
Community Based Nursing
,- HIV positive women
- Untreated TB or chicken pox
- Active herpes lesion on the breast
- Street drug use
- Alcohol use
- Currently being treated for breast cancer
- Taking antineoplastic, thyrotoxic, or immunosuppressive drugs
- Baby has galactosemia
Give this one a try later!
Those who Shouldn't Breastfeed
First 24 hrs
Talks about birth experience
Elation, excitement, and/or anxiety and confusion
Physical exhaustion
Give this one a try later!
Maternal Role Attainment: Taking In
Due to fluid shifts, adrenaline crash, hormone changes ; usually lasts about 30 min
Offer warm blankets and beverages as comfort measures
Give this one a try later!
, Chilling and Shivering Following Birth
To the breast as soon as possible after birth, preferably within the first hour
Nurse on demand, 8-12 x/24 hrs
But wake baby up if more than 3.5 - 4 hrs in the 1st few weeks
Discourage pacifier use for the 1st 2-4 wks bc it decreases milk production
Give this one a try later!
Feeding From The Breast
Bonding - a 1-way process from parent to child: quiet, alert state in first hr; encourage
eye contact in first 30 min as well as breastfeeding; room in
Attachment - a 2-way process between parent and child
Give this one a try later!
Bonding and Attachment
Negative comments
Failure to look at infant
Failure to touch infant
Failure to name infant
Limited/no handling of baby
Failure to meet physical needs - her own or the baby's
, Give this one a try later!
Attachment High-Risk Behaviors
1 in 20 deliveries
Grand multiparity
Quick/long labors
Overdistended uterus
Give this one a try later!
Uterine Atony
Last time pt emptied bladder?
Palpable or nonpalpable?
Spontaneous voiding should occur within 6-8 hrs
150 ml/hr is necessary to avoid urinary retention/stasis
Give this one a try later!
Assessment: Bladder
- Recent studies show that if 90% of moms exclusively breastfed for 6 mo , 721 less
babies would die each year - in the USA
- Over 3300 mom would not die prematurely (mostly from CVD, breast cancer, & DM)
- Medical costs & costs associated w/premature death would be decreased by $14.1
billion/year
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller selftest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.00. You're not tied to anything after your purchase.